Provider Demographics
NPI:1023302809
Name:CASTEEN, TERESA ARLENE (RN)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ARLENE
Last Name:CASTEEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ARLENE
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12217 VIA HACIENDA
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-5028
Mailing Address - Country:US
Mailing Address - Phone:619-660-1094
Mailing Address - Fax:619-660-1094
Practice Address - Street 1:12217 VIA HACIENDA
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-5028
Practice Address - Country:US
Practice Address - Phone:619-660-1094
Practice Address - Fax:619-660-1094
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA445501163W00000X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine